| NPI | 1518198480 |
|---|---|
| Professional Name | DAVETTE D JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24833) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 24833) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2021-08-19 |